EEACC_E

Aspen View Regional Division No.19

EEACC-E

" STUDENT MISCONDUCT FORM"

TO PARENTS OR GUARDIANS: STUDENT NAME:

This report is to advise you of concerns about the behaviour of your child while riding on the school bus. Your cooperation in ensuring appropriate behaviour would be most appreciated. Please communicate directly with the principal if you desire additional information.

NOTE: If your child receives a " Student Misconduct Form" report for a serious offence or three " Student Misconduct Forms" reports for minor offences, he/she may be suspended from riding the bus.

TO: PRINCIPAL SCHOOL

Date: ___________________ AM ___ PM ___ Ex. Curricular ____________

The above named student was (describe) ___________________________________

_____________________________________________________________________

Driver's comments and action taken by driver: _______________________________

_____________________________________________________________________

Route # ____________ Bus # _____________

DATE: ______________________ SIGNATURE: _________________________

Bus Driver

Action taken by principal: ______________________________________________

_____________________________________________________________________

DATE: ______________________ SIGNATURE: _________________________

Principal

Copies to: >Parents/guardians

>Bus Driver

>Transportation Supervisor

>Superintendent of Schools (for situations where a suspension is imposed)